Objective: We report a case in which multiple overlapping low-profile visualized intraluminal support (LVIS) stents were used as monotherapy for ruptured blood blister-like aneurysm (BBA) of the internal carotid artery (ICA).

Case Presentation: A 48-year-old female presented to the emergency room with acute-onset headache. She was alert without neurological deficit with subarachnoid hemorrhage (SAH) Hunt and Kosnik grade I. Emergency angiography revealed a BBA from the supraclinoid ICA. This aneurysm had a small diameter, which makes coil embolization difficult. Therefore, we planned to use multiple overlapping LVIS stents as monotherapy for the ruptured aneurysm. The postoperative course was uneventful without rebleeding. The patient exhibited no neurological deficits on the clinical follow-up at 1 year.

Conclusion: Multiple overlapping LVIS stents as monotherapy is useful for ruptured BBAs of the ICA.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370645PMC
http://dx.doi.org/10.5797/jnet.cr.2019-0068DOI Listing

Publication Analysis

Top Keywords

lvis stents
16
multiple overlapping
12
stents monotherapy
12
monotherapy ruptured
12
ruptured blood
8
blood blister-like
8
blister-like aneurysm
8
internal carotid
8
carotid artery
8
overlapping lvis
8

Similar Publications

Introduction: The LVIS EVO (MicroVention) is a braided stent designed to assist coil embolisation of intracranial aneurysms. It offers several structural innovations over previous and currently available braided, and laser-cut, stents that are theorised to improve procedural success. This retrospective audit aims to determine the success and complication rates of LVIS EVO-assisted coil embolisation in unruptured saccular aneurysms at a tertiary neurovascular referral centre in Queensland, Australia.

View Article and Find Full Text PDF

Comment on "Comparison of LVIS and enterprise stent-assisted coiling embolization for ruptured intracranial aneurysms: a propensity score-matched cohort study".

Neurosurg Rev

October 2024

Department of Cariology, Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College and Hospital, Saveetha University, Chennai, Tamil Nadu, 600077, India.

View Article and Find Full Text PDF

Comparison of LVIS and Enterprise stent-assisted coiling embolization for ruptured intracranial aneurysms: a propensity score-matched cohort study.

Neurosurg Rev

September 2024

Department of Neurosurgery, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi, China.

Article Synopsis
  • The study compares the safety and efficacy of two stent types, LVIS and Enterprise, in treating ruptured intracranial aneurysms (RIA) using data from 231 patients admitted between 2018 and 2021.
  • Before adjusting for other variables, Enterprise showed a higher rate of poor prognosis after 12 months compared to LVIS.
  • After thorough analysis, the LVIS group had a significantly lower occurrence of delayed cerebral ischemia (DCI) compared to the Enterprise group, suggesting similar overall efficacy but differing risks for complications.*
View Article and Find Full Text PDF
Article Synopsis
  • Crossing Y-stent-assisted coiling (CYSAC) is a promising method for treating challenging wide-neck bifurcation aneurysms, although it can be technically difficult.
  • A study involving 37 patients treated with Y-stent-assisted coiling using LVIS EVO stents showed that a significant majority (83.8%) achieved excellent occlusion immediately after treatment, with high success rates maintained over an average follow-up of nearly 33 months.
  • The researchers' "drill turn" technique for stent crossing was effective, leading to safe outcomes and stable occlusion rates, demonstrating the method's feasibility for treating these aneurysms.
View Article and Find Full Text PDF

Background: Stent development has focused recently on low-profile, self-expandable stents compatible with 0.0165 inch microcatheters. The LVIS EVO is the second-generation version of the Low-Profile Visualized Intraluminal Support (LVIS) with improved visibility and resheathability.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!